LAUREN WALLIS
NPI 1679445696
Nurse Practitioner - Family in Binghamton, NY
About Lauren Wallis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN WALLIS (NPI 1679445696) is an individual family provider in Binghamton, New York, licensed in New York (357599) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lauren Wallis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Our Lady Of Lourdes Memorial Hospital, Inc
Acute Care Hospitals · Binghamton, NYUnited Health Services Hospitals, Inc
Acute Care Hospitals · Binghamton, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BINGHAMTON, NY 13905
BINGHAMTON, NY 13905
BINGHAMTON, NY 13905
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lauren Wallis's NPI number?
The NPI number for Lauren Wallis is 1679445696. It was assigned to this individual provider in the NPPES registry on September 19, 2025.
Where is Lauren Wallis located?
Lauren Wallis practices at 169 Riverside Dr, Binghamton, NY 13905. The listed phone number is (570) 904-1213.
What is Lauren Wallis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lauren Wallis enrolled in Medicare?
Yes. Lauren Wallis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Lauren Wallis affiliated with any hospitals?
According to CMS data, Lauren Wallis is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.
When was this NPI record last updated?
The NPPES record for Lauren Wallis was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lauren Wallis · NPI 1679445696
Family physician in Binghamton, New York. Individual provider, active in the CMS NPPES registry since September 19, 2025.
## Identity
- **NPI:** 1679445696 (Entity type: Individual)
- **Enumerated:** September 19, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 357599 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 169 RIVERSIDE DR, Binghamton, NY 13905-4246
- **Phone:** (570) 904-1213
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1679445696) · Data from the CMS NPPES public registry.